@layout("/common/_container.html"){
<style>
    .title_anchor{
        width:  80px;
        height:  24px;
        line-height:  24px;
        text-align:  center;
        background-color:  #00A8CB;
        color:  white;
    }

    .textarea_con_tool{
        width:  90%;
        height:  44px;
        margin-left:  30px;
    }
    .title_margin{
        margin:  5px  0;
    }
    .row_margin{
        margin-bottom:  10px;
    }
    .submit_btn{
        display:  inline-block;
        width:  80px;
        height:  24px;
        line-height:  24px;
        text-align:  center;
        background-color:  #00A8CB;
        color:  white;
    }
    .tool_ipt{
        border:  none;
        outline:  none;
        display:  inline-block;
        width:  50%;
        height:  50%;
    }
    .aaazhushu{
        width: 88%;
        /*height: 200px;*/
        background-color: white;
        position: absolute;
        top: 34px;
        left: 44px;
        z-index: 1;
        border-radius: 3px;
        border: solid 1px #A9A9A9;
        box-shadow: 1px 5px 5px rgba(0, 0, 0, .5);
        display: none;
    }
    /*.tab-contain{*/
    /*margin: 50px auto;*/
    /*width: 1000px;*/
    /*padding:100px;*/
    /*background: #7F7D7D;*/
    /*}*/
    .biaoti {
        overflow: hidden;
        width: 100%;
        margin: 0;
        padding: 0;
        list-style: none;
    }
    .biaoti li {
        float: left;
        margin: 0;
    }


    .current{
        color: #fff;
    }

    /*.hoverItem a{*/
    /*color: black;*/
    /*}*/

    .item{
        display: none;
    }

    .selected{
        display: block;
    }
    .biaoti{
        border-bottom: solid 1px #E6E6E6;
    }
    .biaoti .biaoti-x{
        width: 30px;
        height: 30px;
        font-size: 30px;
        position: absolute;
        top: 0;
        right: 0;
        cursor: pointer;
    }

    .biaoti span {
        font-size: 14px;
        color: #5B616E;
        line-height: 26px;
        margin-left: 14px;
    }
    .content{
        margin: 15px;
    }
    .content-11{
        width: 95%;
        height: 30px;
        /*background-color: white;*/
        margin-top: 10px;
    }

    .content-33{
        width: 90%;
        /*height: 30px;*/
        float: right;
    }
    .content-33 .content-aa li{
        float: left;
        padding: 3px 8px;
        border: 1px solid #E3E3E3;
        color: #969AA5;
        margin-left: 5px;
        border-radius: 5px;
        font-size: 12px;
        cursor: pointer;
        margin-bottom: 5px;
    }
    .content-33 .content-aa li:hover{
        border-color: #00A8CB;
    }

    ul{padding: 0;margin: 0;}
    .selects_style{  width: 57%;  height: 30px;  }
    .textarea_con{  width:  90%;  height:  34px;  }
    .box-input{  position: relative;  }
    .ulBox{display: none;position: absolute;left: 45px;top: 34px;z-index: 9;  background: #ffffff;}
    .content-22{  min-width: 50px;  float: left;  color: #5B616E;  padding: 2px 0;  }
    .biaoti li{  width: 100px;  height: 27px;  cursor: pointer;  }
    .active{  background-color: #00A8CB;  color: white;  }

</style>
<div class="container-fluid  add_records" id="isDealInfoForm" style="padding-bottom: 20px;">
    <div style="display: none">
        <input type="hidden" id="customerId" value="${customerId}">
        <input type="hidden" id="reservationsId" value="${reservationsId}">
        <input type="hidden" id="customerStatus" value="${customerStatus}">
    </div>

   <div>
       <div class="col-sm-12" style="margin-top: 15px;">
           <div class="col-sm-3">
               <span>医生：</span>
               <select name="doctorId" id="doctorId" class="selects_style"> 
                   @for(item in list){
                   <option  value="${item.doctor}" >${item.doctor}</option>
                   @}
               </select>
           </div>
           <div class="col-sm-3">
               <span>护士：</span>
               <select name="nurseId" id="nurseId" class="selects_style">
                   @for(item in list1){
                   <option  value="${item.nurse}" >${item.nurse}</option>
                   @}
               </select>
           </div>
           <div class="col-sm-3">
               <span>就诊时间：</span>
               <select name="finnallyTime" id="finnallyTime" class="selects_style">
                   @for(item in customerList){
                   <option  value="${item.arrivalTime}" >${item.arrivalTime}</option>
                   @}
               </select>
           </div>
           <div class="col-sm-3">
               <span>项目：</span>
               <select name="payServiceId" id="payServiceId" class="selects_style">
                   @for(item in reservationsInfo){
                   <option  value="${item.payServiceId}" >${item.payServiceName}</option>
                   @}
               </select>
           </div>
       </div>
       <div class="col-sm-12">
            <div class="col-sm-12">
                <span>类型：</span>
                <input id="new_clinical" type="radio" name="clinical" aria-label="..." checked="checked" value="1">
                <label for="new_clinical" class="btn">初诊病历</label>
                <input id="old_clinical" type="radio" name="clinical" aria-label="..." value="2">
                <label for="old_clinical" class="btn">复诊病历</label>
            </div>
       </div>

       <div class="col-sm-12">
           <div class="many col-sm-12">
                <div class="title_margin">
                    <div class="title_anchor">主述</div>
                </div>
                <input type="text" class="textarea_con" id="zhushu"/>
                <div style="left: 15px;top: 100%;" class="ulBox">
                    <ul class="biaoti">
                        <li class="current active"><span>主诉词条</span></li>
                        <!--<li class="current"><span>主诉模板</span></li>-->
                    </ul>
                    <div class="content">
                        <div class="item selected">
                            <div class="content-11">
                                <div class="content-22">部位：</div>
                                <div class="content-33">
                                    <ul class="content-aa">
                                        <li>左上</li>
                                        <li>左下</li>
                                        <li>右上</li>
                                        <li>右下</li>
                                        <li>左</li>
                                        <li>右</li>
                                        <li>上</li>
                                        <li>下</li>
                                        <li>前牙</li>
                                        <li>后牙</li>
                                        <li>前后牙</li>
                                        <li>半口牙</li>
                                        <li>全口牙</li>
                                    </ul>
                                </div>
                            </div>
                            <div class="content-11">
                                <div class="content-22">症状：</div>
                                <div class="content-33">
                                    <ul class="content-aa">
                                        <li>有洞</li>
                                        <li>折断</li>
                                        <li>缺失</li>
                                        <li>咬合不适</li>
                                        <li>食物嵌塞</li>
                                        <li>刷牙出血</li>
                                        <li>牙冠变色</li>
                                        <li>牙列不齐</li>
                                        <li>充填物脱落</li>
                                        <li>冷热刺激痛</li>
                                        <li>冷热酸甜敏感</li>
                                    </ul>
                                </div>
                            </div>
                            <div class="content-11">
                                <div class="content-22">时间：</div>
                                <div class="content-33">
                                    <ul class="content-aa">
                                        <li>1小时</li>
                                        <li>1天</li>
                                        <li>1周</li>
                                        <li>1月</li>
                                        <li>1年</li>
                                    </ul>
                                </div>
                            </div>
                            <div class="content-11">
                                <div class="content-22">要求：</div>
                                <div class="content-33">
                                    <ul class="content-aa">
                                        <li>要求拔牙</li>
                                        <li>要求洗牙</li>
                                        <li>要求镶牙</li>
                                        <li>要求矫正</li>
                                    </ul>
                                </div>
                            </div>
                            <div class="content-11">
                                <div class="content-22">转诊：</div>
                                <div class="content-33">
                                    <ul class="content-aa">
                                        <li>接牙体转诊</li>
                                        <li>接修复转诊</li>
                                        <li>接牙周转诊</li>
                                        <li>接外科转诊</li>
                                        <li>接正畸转诊</li>
                                    </ul>
                                </div>
                            </div>
                            <div class="content-11">
                                <div class="content-22">复诊：</div>
                                <div class="content-33">
                                    <ul class="content-aa">
                                        <li>无明显不适，今日继续治疗</li>
                                        <li>无明显不适，今日治疗</li>
                                        <li>定期复诊洁治</li>
                                    </ul>
                                </div>
                            </div>
                        </div>
                        <!--<div class="item">-->
                            <!--<h2>title 2222</h2>-->
                            <!--<p>text here!!!text here!!!text here!!</p>-->
                            <!--<p>text here!!!text here!!!text here!!!text here!text here!!!text here!!!text here!!!</p>-->
                        <!--</div>-->
                    </div>
                </div>
            </div>
           <div class="many col-sm-12">
               <div class="title_margin">
                   <div class="title_anchor">现病史</div>
               </div>
               <input type="text" class="textarea_con" id="nowMedicalHistory"/>
               <div style="left: 15px;top: 100%;" class="ulBox">
                   <ul class="biaoti">
                       <li class="current active"><span>现病史词条</span></li>
                       <!--<li class="current"><span>现病史模板</span></li>-->
                   </ul>
                   <div class="content">
                       <div class="item selected">
                           <div class="content-11">
                               <div class="content-22">时间：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>1小时前</li>
                                       <li>1天前</li>
                                       <li>1周前</li>
                                       <li>1月来</li>
                                       <li>1年来</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">部位：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>左上</li>
                                       <li>左下</li>
                                       <li>右上</li>
                                       <li>右下</li>
                                       <li>左</li>
                                       <li>右</li>
                                       <li>上</li>
                                       <li>下</li>
                                       <li>前牙</li>
                                       <li>后牙</li>
                                       <li>前后牙</li>
                                       <li>半口牙</li>
                                       <li>全口牙</li>
                                       <li>患者自觉</li>
                                       <li>体检发现</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">症状：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>有洞</li>
                                       <li>折断</li>
                                       <li>缺失</li>
                                       <li>咬合不适</li>
                                       <li>食物嵌塞</li>
                                       <li>刷牙出血</li>
                                       <li>牙冠变色</li>
                                       <li>牙列不齐</li>
                                       <li>充填物脱落</li>
                                       <li>冷热刺激痛</li>
                                       <li>冷热酸甜敏感</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">治疗情况：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>未治疗。</li>
                                       <li>本院治疗，</li>
                                       <li>外院治疗，</li>
                                       <li>牙髓治疗，</li>
                                       <li>充填治疗，</li>
                                       <li>牙周治疗，</li>
                                       <li>治疗，具体不详，</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">症状变化：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>缓解，</li>
                                       <li>稍缓解，</li>
                                       <li>未缓解，</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">口腔习惯：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>刷牙 2次/日，2min/次，不使用牙线，不使用间隙刷。</li>
                                       <li>使用电动牙刷</li>
                                   </ul>
                               </div>
                           </div>
                       </div>
                       <!--<div class="item">-->
                           <!--<h2>title 2222</h2>-->
                           <!--<p>text here!!!text here!!!text here!!</p>-->
                           <!--<p>text here!!!text here!!!text here!!!text here!text here!!!text here!!!text here!!!</p>-->
                       <!--</div>-->
                   </div>
               </div>
           </div>
           <div class="many col-sm-12">
               <div class="title_margin">
                   <div class="title_anchor">既往史</div>
               </div>
               <input type="text" class="textarea_con" id="beforeMedicalHistory"/>
               <div style="left: 15px;top: 100%;" class="ulBox">
                   <ul class="biaoti">
                       <li class="current active"><span>既往史词条</span></li>
                       <!--<li class="current"><span>既往史模板</span></li>-->
                   </ul>
                   <div class="content">
                       <div class="item selected">
                           <div class="content-11">
                               <div class="content-22">常规：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>体健.</li>
                                       <li>无特殊.</li>
                                       <li>否认系统性病史.</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">高血压：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>否认高血压.</li>
                                       <li>高血压10年,服药控制,高压/低压 140/80mmHg.</li>
                                       <li>每日服用抗高压药物</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">心脏病：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>否认心脏病,</li>
                                       <li>心脏病史 5年,</li>
                                       <li>每日服用阿司匹林,</li>
                                       <li>每日服用华法令,</li>
                                       <li>未服抗凝药,</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">糖尿病：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>否认糖尿病,</li>
                                       <li>糖尿病史 5年,</li>
                                       <li>维持血糖 mmol/L,</li>
                                       <li>每日服用抗糖尿病药物</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">药物过敏：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>不详,</li>
                                       <li>否认药物过敏,</li>
                                       <li>青霉素类过敏,</li>
                                       <li>磺胺类过敏,</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">传染病史：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>乙型肝炎病史,</li>
                                       <li>AIDS病史,</li>
                                       <li>结核病史,</li>
                                       <li>甲型肝炎病史,</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">家族病史：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>无特殊家族病史,</li>
                                   </ul>
                               </div>
                           </div>
                       </div>
                       <!--<div class="item">-->
                           <!--<h2>title 2222</h2>-->
                           <!--<p>text here!!!text here!!!text here!!</p>-->
                           <!--<p>text here!!!text here!!!text here!!!text here!text here!!!text here!!!text here!!!</p>-->
                       <!--</div>-->
                   </div>
               </div>
           </div>
           <div style="display: none" class="single col-sm-12">
               <div class="title_margin">
                   <div class="title_anchor">复诊</div>
               </div>
               <input type="text" class="textarea_con" id="zhushu"/>
               <div style="left: 15px;top: 100%;" class="ulBox">
                   <ul class="biaoti">
                       <li class="current active"><span>主诉词条</span></li>
                       <!--<li class="current"><span>主诉模板</span></li>-->
                   </ul>
                   <div class="content">
                       <div class="item selected">
                           <div class="content-11">
                               <div class="content-22">部位：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>左上</li>
                                       <li>左下</li>
                                       <li>右上</li>
                                       <li>右下</li>
                                       <li>左</li>
                                       <li>右</li>
                                       <li>上</li>
                                       <li>下</li>
                                       <li>前牙</li>
                                       <li>后牙</li>
                                       <li>前后牙</li>
                                       <li>半口牙</li>
                                       <li>全口牙</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">症状：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>有洞</li>
                                       <li>折断</li>
                                       <li>缺失</li>
                                       <li>咬合不适</li>
                                       <li>食物嵌塞</li>
                                       <li>刷牙出血</li>
                                       <li>牙冠变色</li>
                                       <li>牙列不齐</li>
                                       <li>充填物脱落</li>
                                       <li>冷热刺激痛</li>
                                       <li>冷热酸甜敏感</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">时间：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>1小时</li>
                                       <li>1天</li>
                                       <li>1周</li>
                                       <li>1月</li>
                                       <li>1年</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">要求：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>要求拔牙</li>
                                       <li>要求洗牙</li>
                                       <li>要求镶牙</li>
                                       <li>要求矫正</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">转诊：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>接牙体转诊</li>
                                       <li>接修复转诊</li>
                                       <li>接牙周转诊</li>
                                       <li>接外科转诊</li>
                                       <li>接正畸转诊</li>
                                   </ul>
                               </div>
                           </div>
                           <div class="content-11">
                               <div class="content-22">复诊：</div>
                               <div class="content-33">
                                   <ul class="content-aa">
                                       <li>无明显不适，今日继续治疗</li>
                                       <li>无明显不适，今日治疗</li>
                                       <li>定期复诊洁治</li>
                                   </ul>
                               </div>
                           </div>
                       </div>
                       <!--<div class="item">-->
                       <!--<h2>title 2222</h2>-->
                       <!--<p>text here!!!text here!!!text here!!</p>-->
                       <!--<p>text here!!!text here!!!text here!!!text here!text here!!!text here!!!text here!!!</p>-->
                       <!--</div>-->
                   </div>
               </div>
           </div>

           <div class="col-sm-12 row_margin">
               <div class="col-sm-12 title_margin">
                   <div class="title_anchor">口腔检查</div>
               </div>
               <div class="row contentBox">
                   <div class="clearfix toothBox1">
                       <div class="col-sm-3">
                           <div style="width: 100%;height:50px;display: flex;flex-wrap:wrap;">
                               <input class="tool_ipt leftUp1" style="border-right: 1px solid black;border-bottom: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt leftDown1" style="border-bottom: 1px solid black;padding-left: 4px" value="">
                               <input class="tool_ipt rightUp1" style="border-right: 1px solid black;text-align: right;padding-right: 4px" value="">
                               <input class="tool_ipt rightDown1" style="padding-left: 4px" value="">
                           </div>
                       </div>
                       <div class="col-sm-8 box-input">
                           <textarea class="textarea_con_tool textarea_con remarks1" style="height: 49px;width: 99%"></textarea>
                           <div class="ulBox">
                               <ul class="biaoti">
                                   <li class="current active"><span>口腔检查词条</span></li>
                                   <!--<li class="current"><span>口腔检查模板</span></li>-->
                               </ul>
                               <div class="content">
                                   <div class="item selected">
                                       <div class="content-11">
                                           <div class="content-22">常规检查：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>探</li>
                                                   <li>叩</li>
                                                   <li>松动</li>
                                                   <li>牙龈</li>
                                                   <li>-,</li>
                                                   <li>±,</li>
                                                   <li>+,</li>
                                                   <li>+ +,</li>
                                                   <li>+ + +,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">特殊检查：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>冷测试</li>
                                                   <li>热测试</li>
                                                   <li>电活力测试</li>
                                                   <li>敏感,</li>
                                                   <li>疼痛,</li>
                                                   <li>迟钝,</li>
                                                   <li>无反应,</li>
                                                   <li>正常,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">龋坏：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>浅龋坏,</li>
                                                   <li>龋坏,</li>
                                                   <li>深大龋坏,</li>
                                                   <li>白垩色,</li>
                                                   <li>墨浸样改变,</li>
                                                   <li>质软,</li>
                                                   <li>质硬,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">非龋坏：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>畸形尖,</li>
                                                   <li>畸形沟,</li>
                                                   <li>冠根折,</li>
                                                   <li>微裂纹,</li>
                                                   <li>氟斑牙,</li>
                                                   <li>楔形缺损,</li>
                                                   <li>重度磨耗,</li>
                                                   <li>釉质发育不全,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">旧填充：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>牙色充填体,</li>
                                                   <li>银汞充填体,</li>
                                                   <li>电活力测试</li>
                                                   <li>暂封材料,,</li>
                                                   <li>边缘可,</li>
                                                   <li>边缘蜜合,</li>
                                                   <li>边缘不蜜合,</li>
                                                   <li>继发龋坏,</li>
                                                   <li>悬突,</li>
                                                   <li>充填体部分脱落,</li>
                                                   <li>充填体折断,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">牙周：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>口腔卫生状况不良,牙龈红肿,</li>
                                                   <li>牙石,</li>
                                                   <li>软垢,</li>
                                                   <li>色素,</li>
                                                   <li>BI=</li>
                                                   <li>PD=</li>
                                                   <li>AL=</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">修复：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>缺失,未修复,</li>
                                                   <li>缺失,活动义齿修复,</li>
                                                   <li>缺失,种植体修复,</li>
                                                   <li>缺失,固定修复,</li>
                                                   <li>缺隙近远中距离 mm,</li>
                                                   <li>颌龈距 mm,</li>
                                                   <li>无对牙合牙,</li>
                                                   <li>压槽峭丰满,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">咬合：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>前牙,</li>
                                                   <li>后牙,</li>
                                                   <li>深覆合,</li>
                                                   <li>深覆盖,</li>
                                                   <li>对刃,</li>
                                                   <li>开合,</li>
                                                   <li>反合,</li>
                                                   <li>锁合,</li>
                                                   <li>尖牙关系,</li>
                                                   <li>磨牙关系,</li>
                                                   <li>近中,</li>
                                                   <li>远中,</li>
                                                   <li>正常,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">关节：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>左侧关节,</li>
                                                   <li>右侧关节</li>
                                                   <li>两侧关节,</li>
                                                   <li>疼痛,</li>
                                                   <li>弹响,</li>
                                                   <li>压痛,</li>
                                               </ul>
                                           </div>
                                       </div>
                                   </div>
                                   <!--<div class="item">-->
                                   <!--<h2>title 2222</h2>-->
                                   <!--<p>text here!!!text here!!!text here!!</p>-->
                                   <!--<p>text here!!!text here!!!text here!!!text here!text here!!!text here!!!text here!!!</p>-->
                                   <!--</div>-->
                               </div>
                           </div>
                       </div>
                       <div class="col-sm-1">
                           <button type="button" class="btn deleteRemove"><span class="glyphicon glyphicon-trash"></span></button>
                       </div>
                   </div>
               </div>
               <p class="clearfix"><a href="javascript:;" class="toothPosition" data-type="1" style="float: right;margin-right: 6%;color: #999999">添加牙位</a></p>
           </div>

           <div class="col-sm-12 row_margin">
               <div class="col-sm-12 title_margin">
                   <div class="title_anchor">辅助检查</div>
               </div>
               <div class="row contentBox">
                   <div class="clearfix toothBox2">
                       <div class="col-sm-3">
                           <div style="width: 100%;height:50px;display: flex;flex-wrap:wrap;">
                               <input class="tool_ipt leftUp2" style="border-right: 1px solid black;border-bottom: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt leftDown2" style="border-bottom: 1px solid black;padding-left: 4px"  >
                               <input class="tool_ipt rightUp2" style="border-right: 1px solid black;text-align: right;padding-right: 4px" >
                               <input class="tool_ipt rightDown2" style="padding-left: 4px" >
                           </div>
                       </div>
                       <div class="col-sm-8 box-input">
                           <textarea class="textarea_con_tool textarea_con remarks2" style="height: 49px;width: 99%"></textarea>
                           <div class="ulBox">
                               <ul class="biaoti">
                                   <li class="current active"><span>辅助检查词条</span></li>
                                   <!--<li class="current"><span>辅助检查模板</span></li>-->
                               </ul>
                               <div class="content">
                                   <div class="item selected">
                                       <div class="content-11">
                                           <div class="content-22">常规检查：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>探</li>
                                                   <li>叩</li>
                                                   <li>松动</li>
                                                   <li>牙龈</li>
                                                   <li>-,</li>
                                                   <li>±,</li>
                                                   <li>+,</li>
                                                   <li>+ +,</li>
                                                   <li>+ + +,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">特殊检查：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>冷测试</li>
                                                   <li>热测试</li>
                                                   <li>电活力测试</li>
                                                   <li>敏感,</li>
                                                   <li>疼痛,</li>
                                                   <li>迟钝,</li>
                                                   <li>无反应,</li>
                                                   <li>正常,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">龋坏：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>浅龋坏,</li>
                                                   <li>龋坏,</li>
                                                   <li>深大龋坏,</li>
                                                   <li>白垩色,</li>
                                                   <li>墨浸样改变,</li>
                                                   <li>质软,</li>
                                                   <li>质硬,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">非龋坏：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>畸形尖,</li>
                                                   <li>畸形沟,</li>
                                                   <li>冠根折,</li>
                                                   <li>微裂纹,</li>
                                                   <li>氟斑牙,</li>
                                                   <li>楔形缺损,</li>
                                                   <li>重度磨耗,</li>
                                                   <li>釉质发育不全,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">旧填充：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>牙色充填体,</li>
                                                   <li>银汞充填体,</li>
                                                   <li>电活力测试</li>
                                                   <li>暂封材料,,</li>
                                                   <li>边缘可,</li>
                                                   <li>边缘蜜合,</li>
                                                   <li>边缘不蜜合,</li>
                                                   <li>继发龋坏,</li>
                                                   <li>悬突,</li>
                                                   <li>充填体部分脱落,</li>
                                                   <li>充填体折断,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">牙周：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>口腔卫生状况不良,牙龈红肿,</li>
                                                   <li>牙石,</li>
                                                   <li>软垢,</li>
                                                   <li>色素,</li>
                                                   <li>BI=</li>
                                                   <li>PD=</li>
                                                   <li>AL=</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">修复：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>缺失,未修复,</li>
                                                   <li>缺失,活动义齿修复,</li>
                                                   <li>缺失,种植体修复,</li>
                                                   <li>缺失,固定修复,</li>
                                                   <li>缺隙近远中距离 mm,</li>
                                                   <li>颌龈距 mm,</li>
                                                   <li>无对牙合牙,</li>
                                                   <li>压槽峭丰满,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">咬合：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>前牙,</li>
                                                   <li>后牙,</li>
                                                   <li>深覆合,</li>
                                                   <li>深覆盖,</li>
                                                   <li>对刃,</li>
                                                   <li>开合,</li>
                                                   <li>反合,</li>
                                                   <li>锁合,</li>
                                                   <li>尖牙关系,</li>
                                                   <li>磨牙关系,</li>
                                                   <li>近中,</li>
                                                   <li>远中,</li>
                                                   <li>正常,</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">关节：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>左侧关节,</li>
                                                   <li>右侧关节</li>
                                                   <li>两侧关节,</li>
                                                   <li>疼痛,</li>
                                                   <li>弹响,</li>
                                                   <li>压痛,</li>
                                               </ul>
                                           </div>
                                       </div>
                                   </div>
                                   <!--<div class="item">-->
                                   <!--<h2>title 2222</h2>-->
                                   <!--<p>text here!!!text here!!!text here!!</p>-->
                                   <!--<p>text here!!!text here!!!text here!!!text here!text here!!!text here!!!text here!!!</p>-->
                                   <!--</div>-->
                               </div>
                           </div>
                       </div>
                       <div class="col-sm-1">
                           <button type="button" class="btn deleteRemove"><span class="glyphicon glyphicon-trash"></span></button>
                       </div>
                   </div>
               </div>
               <p class="clearfix"><a href="javascript:;" class="toothPosition" data-type="2" style="float: right;margin-right: 6%;color: #999999">添加牙位</a></p>
           </div>

           <div class="col-sm-12 row_margin">
               <div class="col-sm-12 title_margin">
                   <div class="title_anchor">诊断</div>
               </div>
               <div class="row contentBox">
                   <div class="clearfix toothBox3">
                       <div class="col-sm-3">
                           <div style="width: 100%;height:50px;display: flex;flex-wrap:wrap;">
                               <input class="tool_ipt leftUp3" style="border-right: 1px solid black;border-bottom: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt leftDown3" style="border-bottom: 1px solid black;padding-left: 4px" value=""  >
                               <input class="tool_ipt rightUp3" style="border-right: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt rightDown3" style="padding-left: 4px" value="">
                           </div>
                       </div>
                       <div class="col-sm-8 box-input">
                           <textarea class="textarea_con_tool textarea_con  remarks3" id="diagnose" style="height: 49px;width: 99%"></textarea>
                           <div class="ulBox">
                               <ul class="biaoti">
                                   <li class="current active"><span>口腔诊断</span></li>
                                   <!--<li class="current"><span>诊断模板</span></li>-->
                               </ul>
                               <div class="content">
                                   <div class="item selected">
                                       <div class="content-11">
                                           <div class="content-22"></div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>深龋(LC01) </li>
                                                   <li>继发龋(LC02)</li>
                                                   <li>楔状缺损(LC03)</li>
                                                   <li>慢性牙髓炎(LC04)</li>
                                                   <li>慢性根尖炎(LC05)</li>
                                                   <li>慢性牙周炎(LC06)</li>
                                                   <li>冠周炎(LC07)</li>
                                                   <li>残根(LC08)</li>
                                                   <li>残冠(LC09)</li>
                                                   <li>阻生齿(LC10)</li>
                                                   <li>牙列缺损(LC11)</li>
                                                   <li>牙列缺失(LC12)</li>
                                                   <li>不良修复体(LC13)</li>
                                               </ul>
                                           </div>
                                       </div>
                                   </div>
                                   <!--<div class="item">-->
                                   <!--<h2>title 2222</h2>-->
                                   <!--<p>text here!!!text here!!!text here!!</p>-->
                                   <!--<p>text here!!!text here!!!text here!!!text here!text here!!!text here!!!text here!!!</p>-->
                                   <!--</div>-->
                               </div>
                           </div>
                       </div>
                       <div class="col-sm-1">
                           <button type="button" class="btn deleteRemove"><span class="glyphicon glyphicon-trash"></span></button>
                       </div>
                   </div>
               </div>
               <p class="clearfix"><a href="javascript:;" class="toothPosition" data-type="3" style="float: right;margin-right: 6%;color: #999999">添加牙位</a></p>
           </div>

           <div class="col-sm-12 row_margin">
               <div class="col-sm-12 title_margin">
                   <div class="title_anchor">治疗计划</div>
               </div>
               <div class="row contentBox">
                   <div class="clearfix toothBox4">
                       <div class="col-sm-3">
                           <div style="width: 100%;height:50px;display: flex;flex-wrap:wrap;">
                               <input class="tool_ipt leftUp4" style="border-right: 1px solid black;border-bottom: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt leftDown4" style="border-bottom: 1px solid black;padding-left: 4px" value="" >
                               <input class="tool_ipt rightUp4" style="border-right: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt rightDown4" style="padding-left: 4px" value="">
                           </div>
                       </div>
                       <div class="col-sm-8 box-input">
                           <textarea class="textarea_con_tool textarea_con remarks4" style="height: 49px;width: 99%" ></textarea>
                           <div class="ulBox">
                               <ul class="biaoti">
                                   <li class="current active"><span>治疗计划词条</span></li>
                                   <!--<li class="current"><span>治疗计划模板</span></li>-->
                               </ul>
                               <div class="content">
                                   <div class="item selected">
                                       <div class="content-11">
                                           <div class="content-22">修复：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>冠修复</li>
                                                   <li>桩冠修复</li>
                                                   <li>右固定桥修复上</li>
                                                   <li>活动义齿修复</li>
                                                   <li>全口活动义齿修复</li>
                                                   <li>种植修复</li>
                                                   <li>贴面修复</li>
                                                   <li>美白</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">儿牙：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>窝沟封闭</li>
                                                   <li>充填治疗</li>
                                                   <li>根管治疗</li>
                                                   <li>乳牙拔除</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">外科：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>拔出</li>
                                                   <li>手术切除</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">正畸：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>隐形矫治</li>
                                                   <li>固定矫治</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">牙体牙髓：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>充填治疗</li>
                                                   <li>根管治疗</li>
                                                   <li>根管再治疗</li>
                                                   <li>根管治疗+冠修复</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">牙周：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>OHI </li>
                                                   <li>洁治</li>
                                                   <li>刮治、根面平整</li>
                                                   <li>冠延长手术</li>
                                                   <li>牙周手术</li>
                                               </ul>
                                           </div>
                                       </div>
                                   </div>
                               </div>
                           </div>
                       </div>
                       <div class="col-sm-1">
                           <button type="button" class="btn deleteRemove"><span class="glyphicon glyphicon-trash"></span></button>
                       </div>
                   </div>
               </div>
               <p class="clearfix"><a href="javascript:;" class="toothPosition" data-type="4" style="float: right;margin-right: 6%;color: #999999">添加牙位</a></p>
           </div>

           <div class="col-sm-12 row_margin">
               <div class="col-sm-12 title_margin">
                   <div class="title_anchor">处置</div>
               </div>
               <div class="row contentBox">
                   <div class="clearfix toothBox5">
                       <div class="col-sm-3">
                           <div style="width: 100%;height:50px;display: flex;flex-wrap:wrap;">
                               <input class="tool_ipt leftUp5" style="border-right: 1px solid black;border-bottom: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt leftDown5" style="border-bottom: 1px solid black;padding-left: 4px" value="" >
                               <input class="tool_ipt rightUp5" style="border-right: 1px solid black;text-align: right;padding-right: 4px" value="" >
                               <input class="tool_ipt rightDown5" style="padding-left: 4px" value="" >
                           </div>
                       </div>
                       <div class="col-sm-8 box-input">
                           <textarea class="textarea_con_tool textarea_con remarks5" style="height: 49px;width: 99%"></textarea>
                           <div class="ulBox">
                               <ul class="biaoti">
                                   <li class="current active"><span>处置词条</span></li>
                                   <!--<li class="current"><span>处置模板</span></li>-->
                               </ul>
                               <div class="content">
                                   <div class="item selected">
                                       <div class="content-11">
                                           <div class="content-22">口腔宣教：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>OHI口腔卫生宣教，刷牙、牙线、间隙刷使用宣教。</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">知情同意：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>向患者交代病情、治疗计划、费用、预后等，患者知情并同意治疗</li>
                                                   <li>解释病情，患者及家属知情，要求考虑，择日治疗。</li>
                                                   <li>告知病情，治疗方案，费用，风险，患者要求拔牙，知情同意</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">麻醉：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>4%阿替卡因局部浸润麻醉， </li>
                                                   <li>4%阿替卡因阻滞麻醉，</li>
                                                   <li>2%利多卡因局部浸润麻醉，</li>
                                                   <li>2%利多卡因阻滞麻醉，</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">充填：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>去尽腐质，达牙本质深层，未及露髓点,比色,排龈,上领面修复系统,护髓,垫底，树脂充填，调磨充填体高点，抛光</li>
                                                   <li>去旧充填体，</li>
                                                   <li>dycal护髓，</li>
                                                   <li>玻璃离子垫底，</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">根管：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>去腐质未尽露髓，出血大量，扩大穿髓孔，封无砷失活剂，Cervitron暂封。</li>
                                                   <li>去暂封，取封药，揭顶，探及3根管，拔髓不成形，少量出血，手用锉疏通根管至15#，测根长。</li>
                                                   <li>Glyde辅助下，机用镍钛，根管预备。</li>
                                                   <li>冲洗，荡洗，干燥，根管封药，暂封。</li>
                                                   <li>试主尖片，达根长，荡洗，拭净，热牙胶根充，垫底，GIC暂封。</li>
                                                   <li>拍片，恰填。</li>
                                                   <li>根管不通畅，疏通根管，超声尖去除髓腔钙化物。</li>
                                                   <li>橡皮障，</li>
                                                   <li>显微镜，</li>
                                                   <li>5.25%NaClO冲洗，</li>
                                                   <li>封药Ca(OH)2，</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">牙周：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>3%双氧水含漱，超声洁治、抛光，3%双氧水冲洗，上药。</li>
                                                   <li>刮治，根面平整。</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">拔牙：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>分龈，增隙、挺松，钳拔除，搔刮，生理盐水冲洗，置明胶海绵，压迫止血。</li>
                                                   <li>切开翻瓣，</li>
                                                   <li>缝合，1针。</li>
                                                   <li>消毒，拆线，生理盐水冲洗。</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">修复：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>基牙预备，精修。</li>
                                                   <li>制取硅橡胶印模，硅橡胶咬合记录，</li>
                                                   <li>临时冠修复。</li>
                                                   <li>去除临时冠及暂封材料，清洁基牙和修复体，</li>
                                                   <li>试戴修复体边缘密合，邻接良好。</li>
                                                   <li>调合、抛光，永久粘固。</li>
                                                   <li>灌制石膏模型，口外制作个别托盘。</li>
                                                   <li>试支架，就位顺利，基托密合，固位良好，无翘动。</li>
                                                   <li>戴义齿，就位顺利，固位良好，基托密合，无翘动。</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">种植：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>常规消毒铺巾，4%阿替卡因1.7mlX1支/碧兰麻局部浸润麻醉，在牙槽嵴顶做水平切口，全层切开粘骨膜，翻瓣，定位，备洞至预定深度，置入植体，旋入覆盖螺丝，减张缝合，拍片位置可。</li>
                                                   <li>植入骨粉，</li>
                                                   <li>种植术区消毒，拆除缝合线，局部上药。</li>
                                                   <li>切开翻瓣，暴露覆盖螺丝。拆下覆盖螺丝，局部冲洗，旋入愈合帽，加扭力15Ncm。</li>
                                                   <li>旋出愈合帽，局部冲洗吹干。旋入取模柱，拍片确认取模柱到位，制取硅橡胶印模。重新旋入愈合帽。咬合记录。</li>
                                                   <li>旋出愈合帽，局部冲洗吹干。 在就位导板的引导下旋入种植基台，拍片确认基台到位。试戴，冠边缘密合性良好，邻接良好。 调合、抛光。患者对修复体形态颜色满意，确认后，基台加扭力35Ncm。封闭螺丝孔。</li>
                                               </ul>
                                           </div>
                                       </div>
                                       <div class="content-11">
                                           <div class="content-22">正畸：</div>
                                           <div class="content-33">
                                               <ul class="content-aa">
                                                   <li>取模型，照相，正、侧位片。</li>
                                                   <li>粘托槽、带环。</li>
                                                   <li>去除托槽、带环。</li>
                                                   <li>加力，</li>
                                                   <li>片切，</li>
                                                   <li>调合，</li>
                                                   <li>弓丝： 尺寸    ，材质    ，弯曲    。</li>
                                                   <li>牵引：类型     ，型号    ，时间    。</li>
                                                   <li>牵引：类型     ，型号    ，时间    。</li>
                                                   <li>活动矫治器： 类型   ，处置   。</li>
                                               </ul>
                                           </div>
                                       </div>
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                                   <!--<div class="item">-->
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                       <div class="title_anchor">医嘱</div>
                   </div>
                   <div class="col-sm-12 box-input">
                       <textarea class="textarea_con" id="doctorAdvice"></textarea>
                       <div style="left: 16px;top: 91%;" class="ulBox">
                           <ul class="biaoti">
                               <li class="current active"><span>医嘱词条</span></li>
                               <!--<li class="current"><span>医嘱模板</span></li>-->
                           </ul>
                           <div class="content">
                               <div class="item selected">
                                   <div class="content-11">
                                       <div class="content-22">常规医嘱：</div>
                                       <div class="content-33">
                                           <ul class="content-aa">
                                               <li>不适随诊。</li>
                                           </ul>
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                                   <div class="content-11">
                                       <div class="content-22">充填医嘱：</div>
                                       <div class="content-33">
                                           <ul class="content-aa">
                                               <li>忌咬硬物，若出现牙髓症状行根管治疗。</li>
                                           </ul>
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                                   <div class="content-11">
                                       <div class="content-22">根管医嘱：</div>
                                       <div class="content-33">
                                           <ul class="content-aa">
                                               <li>不随随诊，约两周后复诊取出失活剂。</li>
                                               <li>勿咬硬物，一周后复诊。</li>
                                           </ul>
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                                   <div class="content-11">
                                       <div class="content-22">拔牙医嘱：</div>
                                       <div class="content-33">
                                           <ul class="content-aa">
                                               <li>嘱不适随诊，咬棉卷40min，24h不刷牙漱口，2h后可饮食，建议饮食不要太热。</li>
                                               <li>一周复诊拆线。</li>
                                           </ul>
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